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Review
. 2019 Apr 26;4(4):151-157.
doi: 10.1302/2058-5241.4.180031. eCollection 2019 Apr.

How to measure a Hill-Sachs lesion: a systematic review

Marta Maio  1 , Marco Sarmento  2 , Nuno Moura  2 , António Cartucho  2
Affiliations
Review

How to measure a Hill-Sachs lesion: a systematic review

Marta Maio et al. EFORT Open Rev. .

Abstract

Quantifying bone loss is important to decide the best treatment for patients with recurrent anterior glenohumeral instability. Currently, there is no standard method available to make a precise evaluation of the Hill-Sachs lesion and predict its engagement before the surgical procedure. This literature review was performed in order to identify existing published imaging methods quantifying humeral head bone loss in Hill-Sachs lesions.Searches were undertaken in Scopus and PubMed databases from January 2008 until February 2018. The search terms were "Hill-Sachs" and "measurement" for the initial search and "Hill-Sachs bone loss" for the second, to be present in the keywords, abstracts and title. All articles that presented a method for quantifying measurement of Hill-Sachs lesions were analysed.Several methods are currently available to evaluate Hill-Sachs lesions. The length, width and depth measurements on CT scans show strong inter and intra-observer correlation coefficients. Three-dimensional CT is helpful for evaluation of bony injuries; however, there were no significant differences between 3D CT and 3D MRI measurements. The on-track off-track method using MRI allows a simultaneous evaluation of the Hill-Sachs and glenoid bone loss and also predicts the engaging lesions with good accuracy. Cite this article: EFORT Open Rev 2019;4:151-157. DOI: 10.1302/2058-5241.4.180031.

Keywords: Hill–Sachs measurement; bone loss.

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Conflict of interest statement

ICMJE Conflict of interest statement: None declared.

Figures

Fig. 1
Fig. 1
Calculation of the P/R ratio.
Fig. 2
Fig. 2
Measurement of the Hill–Sachs lesion width and depth on an axial section plane.
Fig. 3
Fig. 3
Hill–Sachs angle.
Fig. 4
Fig. 4
On-track and off-track lesion.
See this image and copyright information in PMC

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